A 75-year-old-female with a past medical history of dementia, diaphragm dysfunction, OSA on CPAP, presents to the Emergency Department for a fall. She is not on any blood thinning medications. Patient was found in the basement by her husband who believes she tripped over her oxygen tubing…
Read MoreNecrotizing fasciitis is a life-threatening soft tissue infection that causes necrosis of the muscle fascia and subcutaneous tissues…
Read MoreCalciphylaxis is a life-threatening vasculopathy that results from the deposition of calcium in the arteriolar vasculature of the deep dermis and subcutaneous adipose tissue, which causes occlusion of the affected blood vessels and overlying tissues and skin…
Read MoreA 41-year-old G1P0 female at 7 weeks gestation presents to the emergency department (ED) with 3 days of mild lower abdominal cramping and intermittent vaginal spotting. Nothing makes the cramps better or worse and the spotting randomly occurs throughout the day. She rates the cramping at a 7/10 and describes it as “bad period cramps.” She has no other symptoms and is nervous that “something is wrong with the baby”…
Read MoreA 68-year-old male presents to the emergency department (ED) with one week of worsening shortness of breath. He has no known cardiac history and has rarely seen a physician. He reports shortness of breath with exertion, mild non-productive cough, and subjective fever. He is not having chest pain. He is a long-time smoker but denies other drugs. Vitals are as follows: heart rate (HR) of 102, blood pressure (BP) of 105/70, afebrile, 89% on room air (RA), respiratory rate of 20. On exam the patient exhibits labored breathing, crackles in bilateral lower lung fields and +1 pitting edema in bilateral lower extremities…
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